NASCI Curriculum

Anatomy of the heart and great vessels

A.  Normal morphology and structure
  1. Embryology
 
 
 
  2. Fetal circulation
 
 
  3. Normal cardiac and peri-cardiac structures to include
    a) Eustachian valve
   
   
    b) Thebesian valve/coronary sinus
   
   
    c) Right and left atrial appendages
   
   
   
   
   
   
    d) Moderator band
   
   
   
  • Anatomical observations of the moderator band (Abstract)
    Marios Loukas, Zachary Klaassen, R. Shane Tubbs, Trevor Derderian, Dan Paling, Drin Chow, Shilpa Patel, Robert H. Anderson
    Clinical Anatomy Volume 23, Issue 4, pages 443–450, May 2010  DOI: 10.1002/ca.20968
    e) Endocardial cushion
   
   
    f) Atrioventricular valves (tricuspid and mitral)
   
   
   
    g) Semilunar valves (aortic and pulmonic)
   
   
   
    h) Sinuses of Valsalva
   
   
   
    i) Coronary arteries and major branches
   
   
    j) Coronary veins including coronary sinus
   
   
   
    k) Superior vena cava and deep mediastinal veins (e.g. azygous vein)
   
   
    l) Pericardium
   
   
   
   
    m) Pulmonary arteries
 
   
   
   
    n) Pulmonary veins
   
   
  4. Common variants
 
 
    a) Anomalous coronary artery
   

Case in Point Case

North Course
C. Arepalli, MD; S. Tigges, MD; A. Stillman, MD, PhD

Case in Point Case

Inter-Arterial
T. Smith, MD; J. Mueller, MD; M. Fallert, MD

Case in Point Case

Occlusion Conclusion
I. D'Angeli, G. Pedrazzini, F. Faletra

   
   
    b) Left superior vena cava
   

Case in Point Case 

Persistent Remnant
T. Mousa, T. Kerwin

   
   
    c) Azygous continuation of the IVC
   
   
B. Segmental anatomy of the heart
  1. Atrial situs
 
  2. Ventricular loop
 
  3. Identification of great vessels
 
  4. Assess pulmonary arteries and veins
 
  5. Identify systemic venous return
 
C. Normal adult heart measurements
  1. Left ventricular wall thickness, diameter, fractional shortening, end-diastolic volume, end-systolic volume indexes